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The Potential Impact of CAR T-Cell Treatment Delays on SocietyTreatment delays limit the social value generated by chimeric antigen receptor (CAR) T-cell therapy for the treatment of pediatric acute lymphoblastic leukemia and diffuse large B-cell lymphoma.
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Association of Physician Coordination With Interfacility Transfer Acceptance TimelinessThe authors reviewed physician-to-physician conversations during emergency transfer of patients with ST-segment elevation myocardial infarction and found that higher-quality physician coordination was associated with faster time to acceptance.
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Expanding Coverage for Essential Care During COVID-19The coronavirus disease 2019 (COVID-19) pandemic will exacerbate the financial situations of the millions of Americans who struggle to afford their medical care, but policy solutions are available to quickly mitigate this problem.
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Claims-Based Risk Model for First Severe COPD ExacerbationA health insurance claims-based risk assessment tool to predict patients’ first severe chronic obstructive pulmonary disease exacerbation has been developed and validated.
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Impact of Medical Homes on Quality, Healthcare Utilization, and CostsPatient-centered medical home practices provided better preventive care and disease management with less resource utilization than practices not pursuing PCMH status.
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Optimizing Enrollment in Employer Health Programs: A Comparison of Enrollment Strategies in the Diabetes Health PlanAn automatic enrollment strategy for health insurance programs may not only increase the total number of enrollees but may also decrease some enrollment disparities.
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Dialing In: Effect of Telephonic Wellness Coaching on Weight LossSmall weight loss was reported by overweight/obese individuals targeted for telephonic wellness coaching in this large retrospective study using pre-post design.
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Physician Factors That Influence Patient Referrals to End-of-Life CareThis study used multivariate models to identify physician specialty and comfort with end-of-life discussions, both of which are associated with end-of-life referrals.
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Improving Laboratory Monitoring of Medications: An Economic Analysis Alongside a Clinical TrialAlthough some interventions may enhance medication safety, an electronic medical record reminder to providers may not be an efficient use of resources.
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Does Medicare Managed Care Reduce Racial/Ethnic Disparities in Diabetes Preventive Care and Healthcare Expenditures?The authors aimed to examine whether participation in Medicare managed care, compared with fee-for-service, has any effects on racial/ethnic disparities in diabetes care and healthcare expenditures among older adults.
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Deaths Among Opioid Users: Impact of Potential Inappropriate Prescribing PracticesInappropriate prescribing practices of opioids are a major risk factor for mortality among opioid users in the Georgia Medicaid population, although risk is lower in managed Medicaid.
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Cost and Utilization Avoidance With Mail Prompts: A Randomized Controlled TrialBy mailing information to their members, health plans can affect rates of medical service utilization and generate cost savings.
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Impact of MMRV Combination Vaccine on Childhood Vaccination ComplianceAlthough vaccination compliance increased slightly following use of combination MMRV instead of separate MMR and varicella vaccines, additional barriers to improved compliance warrant future evaluation.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
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Placement of Selected New FDA-Approved Drugs in Medicare Part D Formularies, 2009-2013There is significant heterogeneity in formulary placement and restrictions on new drug approvals in the Part D marketplace.
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Postdischarge Engagement Decreased Hospital Readmissions in Medicaid PopulationsPostdischarge engagement of at-risk Medicaid beneficiaries in 6 health plans resulted in significant reductions in hospital readmissions at rates proportional to the frequency of engagement.
